Fulton Market MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

FULTON MARKET MRI LLC

Practice address

559 W Kinzie St
Chicago, IL 60654-5702

Phone

(312) 335-1155

NPI assigned

Nov 22, 2016

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy McGill

Title

Director of Network Development

Phone

(972) 215-7410

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1205379229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W KINZIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W KINZIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545702",
            "telephone_number": "312-335-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON MARKET MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK DEVELOPMENT",
        "authorized_official_telephone_number": "972-215-7410"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Fullerton, M.A., M.ED., LCPC
• Constance Anita Fullilove, PH.D.
• Rodney M Fullmer, D.O.
• Fullsmile Family Dentist
• Judy Ann Fulop, ND
• Ashley Fulton
• Karina Fulton, O.D
• Leah Mae Fulton, P.T.
• Elyse Fults, MD
• Christie Fultz, LCPC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.